Simple Pneumonia & Pleurisy W/O Cc/Mcc - costs for treatment in Rhode Island

Hospital Costs > Simple Pneumonia & Pleurisy W/O Cc/Mcc > Simple Pneumonia & Pleurisy W/O Cc/Mcc - costs for treatment in Rhode Island

Simple Pneumonia & Pleurisy W/O Cc/Mcc - costs for treatment in Rhode Island


Hospital City Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Kent County Memorial HospitalWarwick35$20,305.40$5,698.91$4,588.09
Miriam HospitalProvidence35$17,969.80$5,050.74$3,892.20
Memorial Hospital Of Rhode IslandPawtucket23$11,430.20$7,249.74$5,636.48
Rhode Island HospitalProvidence18$20,179.90$7,629.22$6,331.11
South County Hospital IncWakefield13$14,237.00$4,379.54$3,178.31
Newport HospitalNewport12$8,287.50$5,622.58$3,409.67
Total 6 hospitals136

DATA

Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014

Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.

Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.

Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration

Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.





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